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1114486180
JAMES ARTHUR RENEAU
BOISE, ID
NPI
1114486180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: ID M-17472)
Enumeration Date
2019-03-18
Last Update Date
2023-10-11
Business Address
JAMES ARTHUR RENEAU
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-5015
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Mailing Address
JAMES ARTHUR RENEAU
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number:
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